TIFFANY KETTERMANN, LLC
TIFFANY KETTERMANN, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003461740, based in Portland, OR. The organization lists 2 taxonomy classifications, with Mental Health Counselor recorded as primary.
Getting there
Here is what surrounds this office in Portland, based on OpenStreetMap data collected Sep 28, 2026. Parking is available about 1,028 ft away. The nearest transit stop is 0.26 mi away, served by Southeast Belmont & 26th. If you arrive early, there is a coffee shop 0.23 mi away.
Getting here and what is nearby
Coffee Oblique Coffee Roasters 305 ft ~2 min
Convenience Stark Street Quick Stop Market 372 ft ~2 min
2816 Southeast Stark Street, Portland 97214
Restaurant Baby Doll Pizza 361 ft ~2 min
2835 Southeast Stark Street, 97214
Su-Th 11:00-23:00, Fr,Sa 11:00-24:00
Coffee Puff Coffee 439 ft ~2 min
2816 Southeast Stark Street, Portland 97214
07:00-16:00
Restaurant Bamboo Sushi 713 ft ~3 min
310 Southeast 28th Avenue, Portland 97214
Mo-Fr 16:00-21:00, Sa-Su 12:00-21:00
Restaurant Ken's Artisan Pizza 732 ft ~3 min
304 Southeast 28th Avenue, Portland 97214
Fr,Sa 17:00-22:00; Tu-Th 17:00-21:00; Su 16:30-21:00
Convenience Plaid Pantry 892 ft ~4 min
2983 Southeast Belmont Street
Transit Southeast Belmont & 30th 964 ft ~4 min
Parking 932 ft ~4 min
Transit Southeast Belmont & 30th 1,025 ft ~4 min
Parking 997 ft ~4 min
Parking 1,028 ft ~4 min
Coffee Crema 0.23 mi ~5 min
Transit Southeast Belmont & 26th 0.26 mi ~6 min
Grocery H Mart 0.29 mi ~6 min
3301 Southeast Belmont Street, Portland 97214
Mo-Su 09:00-22:00
Grocery Whole Foods Market 0.29 mi ~6 min
2825 East Burnside Street, Portland 97214
Mo-Su 08:00-21:00
Convenience Penny Market 0.49 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0941685184
- Enrollment ID
- O20220923001810
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YM0800X | Mental Health Counselor Mental Health | — | — | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003461740 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 8, 2019 |
| Last updated | Feb 25, 2025 |
| Status | Active |
| Practice address |
2950 SE STARK ST STE 130 Portland, OR 97214 (971) 270-0167 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 6 | 1 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 6 | 2 | 7 | 8 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.